ABSTRACT
CASE 7.1 – My periods are regular but heavy. A 36-year-old nulliparous woman presents to the gynaecology outpatient clinic with heavy, regular periods. Her menstrual cycle is 28 days. The periods last for 5 days, with clots during the fi rst 2 days. Up to 20 sanitary towels and supersize tampons are required for each period. The patient has no signifi cant dysmenorrhoea and there is no intermenstrual bleeding. She complains of feeling ‘run down’ and lacking in energy. Her recent smear was negative and she is not using any contraception.
